Successful treatment with biventricular pacing in a patient with hypertrophic obstructive cardiomyopathy

二维码有效期 120s

摘要We report the effects of biventricular pacing in a patient with hypertrophic obstructive cardiomyopathy (HOCM) refractory to medical therapy. A 58-year-old man with HOCM had suffered from dyspnea,chest pain and palpitation for 5 years. Cardiac catheterization showed a left ventricular outflow tract (LVOT) gradient of 80 mmHg. He refused septal myomectomy and the septal ablation was not available. Based on intraoperative pressure measurements,he was implanted with biventricular pacing and LVOT gradient decreased to 10 mmHg. During the follow-up period of 6 months,the patient's symptoms were markedly improved. Biventricular pacing may be an alternative therapy for patients with HOCM.

作者单位 Department of Cardiology,Beijing Anzhen Hospital,Capital Medical University & Institute of Beijing Heart Lung and Vascular Disease,Beijing 100029,China ^[1]

关键词 hypertrophic obstructive cardiomyopathy biventricular pacing

分类号 R5

栏目名称 CASEREPORTS

DOI 10.3760/cma.j.issn.0366-6999.2011.07.028

发布时间 2011-06-10

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